Kenneth Bryan Beach, CRNA | |
112 Jefferson St, West Union, IA 52175-1022 | |
(563) 422-9738 | |
Not Available |
Full Name | Kenneth Bryan Beach |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 112 Jefferson St, West Union, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740239862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | D-119341 (Iowa) | Primary |
Entity Name | Palmer Lutheran Health Center Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1598765398 PECOS PAC ID: 4284544255 Enrollment ID: O20061104000164 |
Mailing Address | Practice Location Address |
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Kenneth Bryan Beach, CRNA 13646 240th St, West Union, IA 52175-9419 Ph: (563) 422-5386 | Kenneth Bryan Beach, CRNA 112 Jefferson St, West Union, IA 52175-1022 Ph: (563) 422-9738 |
Mr. Richard Yngve Jacobson Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 563-422-3811 | |
Barry Spreen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 319-422-3811 | |
Nikki A. Bonitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 563-422-7381 | |
Mr. Glenn Ray White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 563-422-3811 |